Individual
BETHANY FIRSTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3000 N RIDGE RD, ELLICOTT CITY, MD 21043-3311
(410) 461-7577
Mailing address
8230 BODKIN AVE, PASADENA, MD 21122-4703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06709
MD
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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